| STRATEGIC GOAL 9: SOCIAL AND ENVIRONMENTAL ISSUES |
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Improve health, education, environment, and other conditions for the global population |
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Strengthening international cooperation to ensure stable, prosperous societies is critical to U.S. national security. Disease, poverty, displacement, lack of education, and environmental degradation destroy lives, ravage societies, destabilize regions, and cheat future generations of prosperity. By integrating economic growth with social development and environmental stewardship worldwide, we are extending to the international community the basic values American citizens hold dear: prosperity in balance with sustainable management of our land-based and marine natural resources, healthy lifestyles, an informed society, and cooperation to advance research frontiers and stimulate innovation. Children participate in a rally in New Delhi, India for debt relief and resources for education, July, 2005. AP/Wide World Photo |
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The table below shows the performance rating distribution of the FY 2005 results for the Social and Environmental Issues strategic goal.
| Significantly Below Target | Below Target | On Target | Above Target | Significantly Above Target | Totals | |
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| Number of Results | 0 | 0 | 10 | 5 | 1 | 16 |
| Percent of Total | 0% | 0% | 63% | 31% | 6% | 100% |
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Performance Trends. Performance under the President's Emergency Program for AIDS Relief (PEPFAR) has exceeded expectations for treatment (235,000 were treated during the first half of 2005, versus the June 2005 target of 200,000). In addition, more than 120 million people have been reached with HIV/AIDS prevention messages/programs, exceeding the year one goal of reaching 47.8 million people with prevention messages/programs by 250 percent. The percentage of the world's population with access to tuberculosis care and treatment continued its steady three-year increase from 63% to 75%. There has also been an unmistakable trend toward more effective implementation of treaties and agreements on natural resources management (marine, forest, climate, etc), as demonstrated by an increase in partners, cooperation, transparency, standards, and assessments.
Outcome-level Results. The Department has made significant progress toward PEPFAR's five-year goals of supporting treatment for 2 million people infected with HIV, prevention of 7 million new HIV infections, and care for 10 million people infected and affected by HIV/AIDS, including orphans and vulnerable children. As a result of the U.S. Water for the Poor Initiative (launched at the 2002 World Summit on Sustainable Development), over 12 million people have received improved access to water and more than 12 million people have received improved access to adequate sanitation. Other outcome-level results were achieved in FY 2005 in sustainable development and climate change.
Results Significantly Above or Below Target. The Department significantly exceeded its performance target for international cooperation to reduce persistent organic pollutants, an important global health issue. We expected twenty additional countries to ratify the Stockholm Convention in 2005 and 31 actually did so, bringing the number of States-Parties to 110 countries, a remarkably fast pace for a global environmental agreement. There were no results significantly below target in this strategic goal area in 2005.
Resources Invested. The U.S. Government continued to invest significant resources in social and environmental programs in 2005. In FY 2005, the Department allocated an estimated 9.1% of its budget to this strategic goal, or $2.3 billion. This represents a slight decrease of 3% from FY 2004.
The indicators below are representative of the Department's priorities and overall performance for this Strategic Goal. The FY 2005 PAR contains all indicators with detailed performance information.
| The Number of People Receiving HIV/AIDS Treatment in the 15 Focus Countries (PART Program) | |
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| Rating | On Target |
| Target | 470,000 |
| Results | Data collected for the first half of FY 2005 shows that the Emergency Plan is supporting treatment to 235,000 individuals. The Emergency Plan is on target to achieving its FY 2005 treatment goal. Updated end of FY 2005 result data will be available no later than November 30, 2005. |
| Impact | With its severe social, economic, and political consequences, HIV/AIDS presents a security threat and violates a basic principle of development that each generation do better than the one before. HIV/AIDS treatment mitigates the consequences of HIV/AIDS by dramatically improving health and therefore productivity. With every person receiving treatment, life is extended, families are held intact, and nations move forward with development. |
| Status of Bilateral Regional, and Global Climate Change Partnerships and Initiatives1 | |
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| Rating | Above Target |
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| Results |
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| Impact | Our climate change partnerships assist key developing countries to build capacity on a full range of technical aspects that are essential to permit them to undertake meaningful commitments to address global climate change, while advancing the development of new technologies to mitigate greenhouse gas emissions and address global climate change in a manner consistent with economic growth. |
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1 Climate change partnerships defined as officially established bilateral relationships on climate change. (back to text) | |
| The U.S. Agency for International Development is reporting results for this goal. |
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| Percentage of Initiatives Agreed Upon at Regional Migration Dialogues that are Implemented | |
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| Rating | On Target |
| Target | Seventy percent of activities agreed to in the Regional Conference on Migration in North and Central America (RCM) are implemented. |
| Results | Approximately 80% (17 of 21) activities agreed to by RCM member states have been implemented or are in the process of implementation in FY 2005. Nearly 100% of the activities agreed upon by members of the Intergovernmental Consultations on Asylum, Refugee and Migration Policies in Europe, North America and Australia have been implemented or are in the process of implementation. |
| Impact | An increased number of governments committed to pursuing regional migration dialogues helps pave the way for humane and effective migration regimes for the 150 million migrants in the world today. |
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HIV/AIDSAs President Bush has said, "Confronting HIV/AIDS is the responsibility of every nation and a moral imperative for the United States." HIV/AIDS is not only a human tragedy of enormous magnitude, it is also a threat to the stability of entire countries and to entire regions of the world. To turn the tide against this devastating pandemic, President Bush launched his historic $15 billion Emergency Plan for AIDS Relief—the largest commitment any nation has ever made to an international health initiative. The Emergency Plan is combating HIV/AIDS in 123 countries around the world through prevention, treatment, and care, placing special emphasis on 15 countries where the need is most urgent. Assistance is also provided for HIV/AIDS research and to multilateral organizations such as the Global Fund to Fight AIDS, Tuberculosis, and Malaria. In FY 2005, the Emergency Plan supported over 235,000 people on treatment, well exceeding its June 2005 target. President Bush and First Lady Laura Bush greet children at the AIDS Support Organization in Entebbe, Uganda. AP/Wide World Photo |
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